[Physical complaints, emotional stress and locus of control in the course of orthopaedic rehabilitation].
OBJECTIVE
Based on the biopsychosocial model, the present paper investigates the interactions between physical complaints and psychological parameters under the terms of a rehabilitation procedure.


METHODS
In 309 participants of orthopaedic rehabilitation, the course of physical complaints (GBB-24), emotional stress (HADS-D) and locus of control (KU-WS) were recorded using a pre-post design. Additionally, the impact of the factors gender, age and level of chronicity as well as the interactions between the variables were analysed.


RESULTS
Compared to the general population, the rehabilitation participants had significantly higher levels of fatigue, limb pain and pressure caused by complaints as well as anxiety and depression. Definite changes under the terms of rehabilitation were found for all single parameters of physical complaints and emotional stress; however, the scales with initially significantly increased values did not reach the levels of the general population. The reduction of physical complaints was significantly correlated with the reduction of emotional stress. The relationship between physical complaints and locus of control was much lower.


CONCLUSIONS
The present paper confirms the strong interaction between biological and psychological factors under the terms of a rehabilitation process.
Michalski
D
D
Universität Leipzig, Klinik und Poliklinik für Neurologie, Leipzig. dominik.michalski@medizin.uni-leipzig.de
Zweynert
U
U
Küppers-Tiedt
L
L
Hinz
A
A
D015897:Comorbidity; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D010146:Pain / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D015995:Prevalence; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*